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include the following. Other duties may be assigned. Creates statistical approaches and analyze data generated by multiple providers or from various review processes (e.g., identifying benchmarks or care, peer groups, and stratification). Trends data to understand opportunities for improvement or focused investigation. Develops statistically sound designs for quality improvement projects implement
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Reviews project proposal or plan to have knowledge of project requirements, procedures for accomplishing project and allotment of available resources to various phases of project. Assists in establishing work and staffing and assignment plans for each phase of project. Maintains and manages electronic and hard copy of contract deliverable files. Monitors and coordinates deliverables ensuring compl
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Plans, directs, and coordinates activities of designated project(s) to ensure that goals or objectives and contract requirements of project are accomplished within prescribed time frame and funding parameters by performing the following duties personally or through subordinates. Job Location Position may be worked from home with regular travel to the Easton office to collaborate with team. Essenti
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While medical review and support of review determinations will be the primary responsibilities of this position, the Medical Director job description includes the following essential duties and responsibilities. Other duties may be assigned. Provides clinical information to teams Medical Review Oversight may include Physician peer review activities Criteria development and assessment Correspondenc
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Medical Director Mississippi Hospice Medical Review Contract Job Location Jackson, MS Position Type Full Time/Regular Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care o
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Medical Director ID Hospice Medical Review Contract Job Location Boise, ID Position Type Full Time/Regular Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization
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Medical Director Hospice Medical Review Contract Job Location Los Angeles, CA Position Type Full Time/Regular Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organizat
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Interventional Cardiologist Contract Home based Job Location Dallas, TX Position Type Consulting Qlarant is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality r
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include the following in addition to those outlined above. Other duties may be assigned. Manages the day to day operations of assigned projects, as well as inter project and cross setting coordination of resources among projects; and contracts including facilitation and communication of resolution of barriers. Prioritizes, delegates, and accomplishes tasks and programs independently and in a team
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include the following. Other duties may be assigned. Manages the day to day operations of assigned projects, as well as inter project and cross setting coordination of resources among projects; and contracts including facilitation and communication of resolution of barriers. Prioritizes, delegates, and accomplishes tasks and programs independently and in a team to ensure successful implementation
Posted Today
This is a Mid level professional position performing medical record and claims review for Medicare, Medicaid, and/or other claims data in order to ensure that proper guidelines have been followed. As a member of an investigative team, may act as a facilitator as well as a case manager regarding assessment for potential overpayment, fraud, waste, and abuse with regards to Medicare, Medicaid, and/or
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Medical Review Nurse Medicare/Medicaid Audit Job Location Sacramento, CA Position Type Full Time/Regular Qlarant, Inc., is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We're a national leader in fighting fraud, waste and abuse for large organizations across the country. Q
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Medical Review Nurse Medicare/Medicaid Audit Job Location Phoenix, AZ Position Type Full Time/Regular Qlarant, Inc., is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We're a national leader in fighting fraud, waste and abuse for large organizations across the country. Qlar
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Medical Review Nurse Medicare/Medicaid Audit Job Location Cerritos, CA Position Type Full Time/Regular Qlarant, Inc., is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We're a national leader in fighting fraud, waste and abuse for large organizations across the country. Qla
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Medical Review Nurse Medicare/Medicaid Audit Job Location Chicago, IL Position Type Full Time/Regular Qlarant, Inc., is a not for profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We're a national leader in fighting fraud, waste and abuse for large organizations across the country. Qlar
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